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General NPI Number Information
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NPI Number | 1174816094
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Entity Type | Individual
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Provider Name | FARHANG ALAEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 9101 FRANKLIN SQUARE DR STE 200
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City | BALTIMORE
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State | MD
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Zip | 21237-4072
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Country | US
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Telephone | 443-777-6788
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Fax | 443-777-6787
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Provider Business Mailing Address
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Address Line | 500 CHASE PKWY
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City | WATERBURY
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State | CT
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Zip | 06708-3346
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Country | US
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Telephone | 203-755-6677
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Fax | 203-573-9182
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 061678
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D87689
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License Number State | MD
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